PMID- 37164159 OWN - NLM STAT- MEDLINE DCOM- 20230606 LR - 20230606 IS - 1872-8227 (Electronic) IS - 0168-8227 (Print) IS - 0168-8227 (Linking) VI - 200 DP - 2023 Jun TI - The effectiveness of COVID-19 vaccination against all-cause mortality in patients with type 2 diabetes mellitus: The observation during the initial period of the cancellation of the "Dynamic Zero Policy" in mainland China. PG - 110694 LID - S0168-8227(23)00457-6 [pii] LID - 10.1016/j.diabres.2023.110694 [doi] AB - AIMS: This study aims to assess the effectiveness of COVID-19 vaccination against all-cause death in patients with type 2 diabetes mellitus (T2DM). METHODS: Subjects were patients with T2DM who were administered by general practitioner (GP). Use electronic exchange platform to obtain the information on COVID-19 vaccination, all-cause deaths and risk factors. Logistic regression models were used to calculate the odd ratio (OR) and 95% CI for the association between COVID-19 vaccination and mortality. The vaccine effectiveness (VE) was calculated as (1- adjusted OR) x 100%. RESULTS: A total of 26,916 subjects had 53.81%, 17.65%, and 23.43% coverage for the booster, full, and partial COVID-19 vaccination, reported 328 deaths and a mortality of 1.2%. The adjusted OR (95%CI) was 0.85(0.60-1.21) for those received partial vaccination, 0.31(0.22-0.43) for those received full vaccination, and 0.12(0.08-0.18) for those received booster vaccination, compared to the unvaccinated individuals. The VE (95%CI) was 88.00%(82.30-91.80) of booster vaccination, 69.30%(56.60-78.30) of full vaccination, and 17.60%(-17.10-42.00) of partial vaccination. CONCLUSION: COVID-19 vaccination could effectively prevent the all-cause death in patients with T2DM during the omicron variant outbreak period, after the cancellation of the "Dynamic Zero Policy" in mainland China. CI - Copyright (c) 2023 Elsevier B.V. All rights reserved. FAU - Liu, Shijun AU - Liu S AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. Electronic address: shijun9170@sina.com. FAU - Jiang, Caixia AU - Jiang C AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. FAU - Liu, Yan AU - Liu Y AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. FAU - Zhang, Yan AU - Zhang Y AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. FAU - Qiu, Xin AU - Qiu X AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. FAU - Luo, Jun AU - Luo J AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. FAU - Xu, Yuyang AU - Xu Y AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. FAU - Wang, Jing AU - Wang J AD - HangZhou Center for Disease Control and Prevention, HangZhou, ZheJiang, China. LA - eng PT - Journal Article DEP - 20230508 PL - Ireland TA - Diabetes Res Clin Pract JT - Diabetes research and clinical practice JID - 8508335 RN - 0 (COVID-19 Vaccines) RN - SARS-CoV-2 variants SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2 MH - COVID-19 Vaccines/therapeutic use MH - *COVID-19/epidemiology/prevention & control MH - SARS-CoV-2 MH - China/epidemiology MH - Policy MH - Vaccination PMC - PMC10165863 OTO - NOTNLM OT - All-cause death OT - COVID-19 vaccination OT - SARS-CoV-2 OT - Type 2 diabetes mellitus OT - Vaccine effectiveness COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2023/05/11 00:41 MHDA- 2023/06/06 06:42 PMCR- 2023/05/08 CRDT- 2023/05/10 19:24 PHST- 2023/03/13 00:00 [received] PHST- 2023/04/21 00:00 [revised] PHST- 2023/05/02 00:00 [accepted] PHST- 2023/06/06 06:42 [medline] PHST- 2023/05/11 00:41 [pubmed] PHST- 2023/05/10 19:24 [entrez] PHST- 2023/05/08 00:00 [pmc-release] AID - S0168-8227(23)00457-6 [pii] AID - 110694 [pii] AID - 10.1016/j.diabres.2023.110694 [doi] PST - ppublish SO - Diabetes Res Clin Pract. 2023 Jun;200:110694. doi: 10.1016/j.diabres.2023.110694. Epub 2023 May 8.